Minimally Invasive Redo Aortic Valve Replacement: Results From a Multicentric Registry (SURD-IR).

Santarpino, Giuseppe; Berretta, Paolo; Kappert, Utz; Teoh, Kevin; Mignosa, Carmelo; Meuris, Bart; Villa, Emmanuel; Albertini, Alberto; Carrel, Thierry P.; Misfeld, Martin; Martinelli, Gianluca; Phan, Kevin; Miceli, Antonio; Folliguet, Thierry; Shrestha, Malak; Solinas, Marco; Andreas, Martin; Savini, Carlo; Yan, Tristan; Fischlein, Theodor; ... (2020). Minimally Invasive Redo Aortic Valve Replacement: Results From a Multicentric Registry (SURD-IR). The annals of thoracic surgery, 110(2), pp. 553-557. Elsevier 10.1016/j.athoracsur.2019.11.033

Text 1-s2.0-S0003497520300151-main.pdf - Published Version Restricted to registered users only Available under License Publisher holds Copyright. Download (146kB) | Request a copy

BACKGROUND

Reoperation for aortic valve replacement can be challenging and is usually associated with an increased risk for complications and mortality. The study aim was to report the results of a multicenter cohort of patients who underwent minimally invasive reoperative aortic valve replacement with a sutureless or rapid-deployment prosthesis.

METHODS

From 2007 to 2018 data from 3651 patients were retrospectively collected from the Sutureless and Rapid-Deployment Aortic Valve Replacement International Registry. Of them, 63 patients who had previously undergone cardiac surgery represented the study population. In-hospital clinical and echocardiographic outcomes were recorded.

RESULTS

Mean age of the selected 63 patients was 75.3 ± 7.8 years and logistic EuroSCORE 10.1. Surgery was performed by ministernotomy in 43 patients (68.3%) and by anterior right thoracotomy in 20 (31.7%); 31 patients (49.2%) received the Perceval valve (Livanova PLC, London, UK) and 32 (50.8%) the Intuity valve (Edwards Lifesciences, Irvine, CA). Mean cross-clamp time was 57.8 ± 23.2 minutes and cardiopulmonary bypass time 95.0 ± 34.3 minutes. Neither conversion to full sternotomy nor in-hospital deaths occurred. Postoperative events were ischemic cerebral events in 3 patients (4.8%), need for pacemaker implantation in 2 (3.6%), bleeding requiring reoperation in 5 (8.9%), and dialysis in 1 (1.6%). Median intensive care unit stay was 1 day, and median length of hospital stay was 10 days. On echocardiographic evaluation 1 patient showed a significant postoperative aortic regurgitation.

CONCLUSIONS

Minimally invasive reoperative aortic valve replacement with a sutureless or rapid-deployment prosthesis is a safe and feasible treatment strategy, resulting in fast recovery and improved postoperative outcome with no mortality and an acceptable complication rate.

Interest & Impact

Downloads

1 since deposited on 15 Dec 2020
0 in the past 12 months

Citations

5 Citations in Web of Science ®
6 Citations in Scopus

Search

in Google Scholar™

Services

Actions (login required)

Edit item

Actions (login required)

Edit item